CMMC PROVIDER SERVICES

$534K

Total Medicaid Paid

12,263

Total Claims

9,108

Beneficiaries

23

Codes Billed

2019-03

First Month

2023-10

Last Month

Authorized Official	MINTZ, JACQUELINE (DIR. FINANCE)
NPI Enumeration Date	02/10/2017

Provider	City	State	Total Paid
BARNABAS HEALTH MEDICAL GROUP PC	ELIZABETH	NJ	$39.91M
SBMC PROVIDER SERVICES	WEST ORANGE	NJ	$1.62M
MMC PROVIDER SERVICES	LONG BRANCH	NJ	$666K

Code	Description	Claims	Beneficiaries	Total Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7,798	4,973	$263K
99239	Hospital discharge day management, more than 30 minutes	983	873	$62K
99460		478	421	$40K
99464		629	600	$34K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	524	509	$31K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	420	411	$27K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	207	206	$21K
43775		33	27	$13K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	13	13	$12K
43235		152	118	$11K
59025	Fetal non-stress test	329	305	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	81	78	$4K
99215	Prolong outpt/office vis	53	52	$3K
99238	Hospital discharge day management, 30 minutes or less	89	74	$3K
99218		48	42	$1K
99220		12	12	$760.52
99226		21	13	$647.71
59430		14	14	$539.96
99217		13	13	$493.82
99231	Subsequent hospital care, per day, straightforward or low complexity	18	14	$459.83
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	37	37	$372.35
99024		298	290	$0.00
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$0.00

Medicaid Provider Spending